Individual provider · Type 1 NPI
Wayne Alan Brack, LMT, NCMTB
Massage Therapist · Port St. Lucie, FL
NPI number
1164720355
Active
Practice location
236 SW Port St Lucie Blvd
Port St. Lucie, FL 34984-5044
Fax (772) 905-8314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA 60306 (FL) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1164720355
Wayne Alan Brack, LMT, NCMTB's National Provider Identifier is 1164720355, issued on Mar 11, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Mar 11, 2011.